Provider Demographics
NPI:1679840938
Name:HANNES, SIOBHAN O'NEIL (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SIOBHAN
Middle Name:O'NEIL
Last Name:HANNES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4701 WILLARD AVE
Mailing Address - Street 2:SUITE 623
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4643
Mailing Address - Country:US
Mailing Address - Phone:202-441-2585
Mailing Address - Fax:
Practice Address - Street 1:4701 WILLARD AVE
Practice Address - Street 2:SUITE 623
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4643
Practice Address - Country:US
Practice Address - Phone:202-441-2585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-30
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY1000356103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist